Leave Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• FULL NAME

• WORKSITE

• TYPE OF LEAVE

  Select Annual Personal Long service Other (please specify)

  • Annual
  • Personal
  • Long service
  • Other (please specify)

• START DATE

  Date

• END DATE

  Date

• DATE RETURNING TO WORK

  Date

• TOTAL DAYS LEAVE

• SHIFTS TO BE COVERED

• NAME OF POSSIBLE REPLACEMENT

EMPLOYEE APPROVAL

• Employee Signature

  Sign

MANAGER APPROVAL

• Manager’s signature

  Sign

• THIS FORM MUST BE APPROVED BY A CONTRACT MANAGER/OFFICE MANAGER THEN GIVEN TO THE OFFICE ADMINISTRATOR FOR RECORDING WHO WILL PASS ON TO THE FINANCE OFFICER FOR PROCESSING

• EMAIL sales@exactcleaning.com.au OR FAX 08 8352 3411